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To apply for a position with Southern Electric Corporation, fill out the online application and click “Submit Application”.

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Referred By

Please list who referred you to Southern Electric Corporation.

Applicant Information

Your Name*

FirstLast

Current Address*

Street AddressAddress Line 2CityStateZIP Code

Phone*

Email*

Date Available*

Date of Birth*

Social Security Number*

Drivers License Number*

State Issued*

License Expiration Date*

Do you have reliable transportation?*

Yes

No

Desired Salary*

Position Applied For*

Overhead Distribution Position*

Overhead Transmission Position*

Electrician Position*

Related Experience

Please list any and all experience, training, or certification you might have relating to the "Position Applied For"

Are you a citizen of the United States?*

Yes

No

Are you authorized to work in the U.S.?*

Yes

No

Have you ever worked for this company?*

Yes

No

When have you worked for this company?*

Driving Experience

List equipment type with dates and approximate number of miles for each

What class is your driver's licence?*

Class A CDL

Class B CDL

Regular

Do you have a valid medical card?*

Yes

No

N/A

Medical Card Expiration Date*

Have you ever been denied a license, permit or privilege to operate a motor vehicle?

Yes

No

Has any license, permit or privilege ever been suspended or revoked?

Yes

No

If you answered yes to either of the above 2 questions, explain below

List accident record for the past 3 years. Include the date, description and number of injuries/fatalities for each

List traffic convictions and forfeitures for the past 3 years. Include the location, date, charge and penalty for each

Special Questions

The information requested in this section is required for a bona fide occupational qualification or dictated by National Security Laws or is needed for other legally permissible reasons.

Height*

Weight*

Have you been convicted of a felony or misdemeanor in the last 5 years?*

You will not be denied employment solely because of a conviction record, unless the offense is related to the job for which you have applied.

Yes

No

If so, when and please provide the nature of the offense.*

Have you ever been denied employment for failure to provide your employer with a satisfactory drug screen or drug test in the last 3 years?*

Yes

No

I understand and agree that I may be required to take physical examination test(s) as a condition of hiring or continued employment. I agree to consent to take such test(s) at such time as designated by the company and to release the company, its Directors, Officers, Agents or employees from any claim arising in connection with the use of such test(s).*

Yes

No

I have been advised that drug testing is required as a condition of hiring or continued employment.*

Yes

No

Previous Address Information

Please list home addresses for the last 3 years, if different than current address.

Previous Address

Street AddressAddress Line 2CityStateZIP Code

Previous Address

Street AddressAddress Line 2CityStateZIP Code

Previous Address

Street AddressAddress Line 2CityStateZIP Code

Education

High School

Address

Years Attended

Did you graduate?

Yes

No

College

Address

Years Attended

Did you graduate?

Yes

No

Degree

Trade School

Trade School Type

Address

Did you graduate?

Yes

No

Other Education

Address

Years Attended

Did you graduate?

Yes

No

Degree

Do you have any computer experience?

Yes

No

If yes, what do you have experience in?

Email

Internet

Excel

Word

Are you willing to recieve computer training?

Yes

No

References

Please list three professional references. Include full name, company name, address, relationship and contact information for each.

References

Previous Employment

Company

Address

Street AddressCityStateZIP Code

Phone

Supervisor

FirstLast

Salary

Start/End Dates

Reason For Leaving

Were you subject to the Federal Motor Carrier Safety Administration (DOT) while employed?

Yes

No

Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug & alcohol testing requirements of 49 CFR 40?

Yes

No

Company

Address

Street AddressCityStateZIP Code

Phone

Supervisor

FirstLast

Salary

Start/End Dates

Reason For Leaving

Were you subject to the FMCSRs while employed?

Yes

No

Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug & alcohol testing requirements of 49 CFR 40?

Yes

No

Company

Address

Street AddressCityStateZIP Code

Phone

Supervisor

FirstLast

Salary

Start/End Dates

Reason For Leaving

Were you subject to the FMCSRs while employed?

Yes

No

Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug & alcohol testing requirements of 49 CFR 40?

Yes

No

Company

Address

Street AddressCityStateZIP Code

Phone

Supervisor

FirstLast

Salary

Start/End Dates

Reason For Leaving

Were you subject to the FMCSRs while employed?

Yes

No

Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug & alcohol testing requirements of 49 CFR 40?

Yes

No

Company

Address

Street AddressCityStateZIP Code

Phone

Supervisor

FirstLast

Salary

Start/End Dates

Reason For Leaving

Were you subject to the FMCSRs while employed?

Yes

No

Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug & alcohol testing requirements of 49 CFR 40?

Yes

No

Company

Address

Street AddressCityStateZIP Code

Phone

Supervisor

FirstLast

Salary

Start/End Dates

Reason For Leaving

Were you subject to the FMCSRs while employed?

Yes

No

Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug & alcohol testing requirements of 49 CFR 40?

Yes

No

Company

Address

Street AddressCityStateZIP Code

Phone

Supervisor

FirstLast

Salary

Start/End Dates

Reason For Leaving

Were you subject to the FMCSRs while employed?

Yes

No

Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug & alcohol testing requirements of 49 CFR 40?

Yes

No

Company

Address

Street AddressCityStateZIP Code

Phone

Supervisor

FirstLast

Salary

Start/End Dates

Reason For Leaving

Were you subject to the FMCSRs while employed?

Yes

No

Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug & alcohol testing requirements of 49 CFR 40?

Yes

No

Declaration of Employment Status

I understand that I must provide my complete employment history for the past 3 years, and all CDL required employment for the 7 years preceeding that. Any gaps in employment longer than 1 month are explained as follows:

From

To

During this time, I was engaged in the following activity

In addition

I was not employed by any company or individual

I was not convicted of any criminal act involving the use of a commercial motor vehicle or while driving a commercial motor vehicle

From

To

During this time, I was engaged in the following activity

In addition

I was not employed by any company or individual

I was not convicted of any criminal act involving the use of a commercial motor vehicle or while driving a commercial motor vehicle

From

To

During this time, I was engaged in the following activity

In addition

I was not employed by any company or individual

I was not convicted of any criminal act involving the use of a commercial motor vehicle or while driving a commercial motor vehicle

Military Service

Branch

Date of Service

Rank at Discharge

Type of Discharge

If other than honorable, explain

Physical Record

Do you have any physical limitations that preclude you from performing any work for which you are being considered?*